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Effectiveness Of Parenting Readiness Education Program At A Clinical Healthcare Setting In A Tertiary Care Hospital, Shelina Bhamani, Sara Sheikh, Misbah Shams, Kiran Aslam, Zaibunissa Karim, Samira Lakhani, Shehzeen Niaz Ali, Khairunnissa Hooda, Monica Oxford

Journal of Asian Midwives (JAM)

Introduction. Healthcare settings can serve as hubs for promoting Early Childhood Development (ECD) and responsive caregiving through parenting education programs. Parenting education programs delivered through healthcare professionals, particularly nurses, support parents in becoming responsive and providing nurturing care for their children, resulting in optimal developmental outcomes. The first aim of the study is to assess the effectiveness of a hospital-based parenting education program on mothers' parental confidence, while the second aim is to evaluate the impact of a nursing education program on nurses' self-efficacy and knowledge pertinent to ECD and responsive caregiving.
Methods. A quasi-experimental study was conducted in the …

An Investigative Approach Leveraging Digital Twin Technology For A Cnc Machine, Anand Valiavalappil

Yanbu Journal of Engineering and Science

Digital twin technology has emerged as an effective approach for improving the monitoring, validation, and optimization of Computer Numerical Control (CNC) machining operations. This study presents an investigative framework integrating Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM), Software-in-the-Loop (SIL), and Hardware-in-the-Loop (HIL) methodologies for diagnosing and rectifying machining defects in CNC systems using the digital twin - virtual model (component and asset twins). Four machining experiments were conducted using Aluminum 6061-T6, Polytetrafluoroethylene (PTFE), Brass, and Stainless Steel (AISI 304) on an EMCO CNC machine integrated with Siemens 840D controls. The first two experiments, involving turning and drilling operations, are presented in detail; the …

Investigating How Personal Values Shape Tourism Experiences: A Case Study Of The Irish National Stud And Gardens, Amy Monahan, Ann T. Conway

International Journal of Tour Guiding and Visitor Attraction Research

This Paper explores the relationship between personal values and tourism experiences  that are  satisfying. A case study of the Irish National Stud and Gardens was undertaken in order to explore this concept. Interviews were conducted to investigate how qualities of the attraction appealed to the visitors’ personal values, thereby enhancing the overall visitor experience. A set of personal values were identified which were specific to the destination. The research demonstrated how an understanding of personal values can assist attractions with various aspects of their operations, with context specific recommendations provided at the end. This approach was taken was taken to …

Exploring The Backgrounds, Experiences, Motivations, And Development Of School-Based Wheelchair Sport Coaches, Deborah Shapiro, Scott Douglas, Jp Barfield, Laurie A. Malone

Journal of Coach Development

Coaching in adapted sport is a complex and demanding practice that requires both specialized technical expertise and a deep understanding of disability. This study explored the motivations, backgrounds, and developmental pathways of interscholastic school-based wheelchair sport coaches. We examined how coaches are introduced to wheelchair sport coaching, their initial and ongoing development, and their perspectives on effective coaching and training practices. A total of 17 coaches (10 men, 7 women) with 1 to 17 years of experience in wheelchair sports coaching from 7 interscholastic wheelchair sports teams participated in one 60-minute mini focus group discussion and responded to a set …

Paper Wasp Species Polistes Fuscatus (Hymenoptera: Vespidae) Tracks Urban Lead (Pb) Levels More Than Polistes Dominula, Lindsey R. Kemmerling, Anna L. Lovat, Allison A. Hanka, Emilie C. Snell-Rood

The Great Lakes Entomologist

Lead (Pb) is a persistent, toxic pollutant with widespread but inequitably distributed impacts, especially for humans in urban areas. The impacts of lead pollution on other organisms is largely unknown, even as they commonly experience exposure to lead alongside humans. We tested hypotheses regarding the lead concentrations of paper wasps across a gradient of pollution relative to soil and human lead levels, and correlations with wasp body condition. We collected two species of paper wasp across an urban gradient of lead pollution: Polistes fuscatus (Fabricius) (Hymenoptera: Vespidae), native to our study location, and Polistes dominula (Christ), nonnative to our study …

Long-Term Monitoring And Response Of Papaipema Sciata Bird (Lepidoptera: Noctuidae) To Prescribed Fire In Michigan (Usa), Gregory J. Norwood, Logan M. Rowe, Brett A. Degregorio, David L. Cuthrell, Aaron D. Meredith, Steven M. Gray

The Great Lakes Entomologist

The Culver’s root borer moth (Papaipema sciata) (Lepidoptera: Noctuidae) is a rare Noctuid that requires Culver’s root (Veronicastrum virginicum) to complete its lifecycle within remnant native grasslands and open woodlands in the midwest and northeast United States. We report on 26 years of monitoring this species’ colonization of Culver’s root stems at Algonac State Park (ASP) in Michigan, where prairies have been maintained by prescribed fire since 1990. P. sciata is considered fire sensitive because eggs spend the dormant season in the combustible prairie litter and duff near host plants. The objectives were to determine the …

Religion And Economics: The Economic Views Of Catholicos-Patriarch Ilia Ii Of Georgia, Giuli Giguashvili

Occasional Papers on Religion in Eastern Europe

The paper examines the impact of religion on a country’s economic development, analyzing how religious values and institutions influence economic behavior. The research employs a qualitative, comparative, and historical approach based on the systematic analysis of primary and secondary sources. Religion can promote economic growth by strengthening work ethics, education, and social order. Still, it may also hinder development through inefficient resource allocation and regulatory influence. In the context of the 1700th anniversary of Christianity in Georgia, the study highlights the relationship between Orthodox teaching and economic thought. Drawing on the epistles and sermons of the Catholicos-Patriarch of All Georgia, …

The Church’S Social Vocation In World War I And Postwar Recovery: Theodor Zöckler’S Pastoral Ministry In Stanislaviv And Its Relevance For Contemporary Ukraine, Liudmyla Tymchuk, Yurii Klonovskyi

Occasional Papers on Religion in Eastern Europe

This article examines Theodor Zöckler’s pastoral ministry in Stanislaviv during the First World War and the difficult years of postwar reconstruction, and assesses the relevance of that experience for churches in contemporary Ukraine. Drawing on archival records, institutional reports, church periodicals, correspondence, and historical scholarship, the study analyzes how Zöckler combined spiritual care with evacuation, humanitarian relief, medical service, child protection, education, vocational training, and institutional advocacy. Historical-genetic, problem-chronological, hermeneutic, and comparative methods are used to reconstruct the transformation of his ministry under conditions of occupation, forced displacement, political transition, and economic collapse. The findings show that Zöckler’s response moved …

The Orthodox Church Of Georgia In A Shifting Political Landscape: Long Traditions, The Holy Patriarchate And Geopolitics Between The European Union And Russia, Elina Mirjam Siekkinen

Occasional Papers on Religion in Eastern Europe

This paper examines the geopolitical and societal effects of the 2026 patriarchal succession within the Georgian Orthodox Church (GOC), by analyzing how the recent election of Catholicos-Patriarch Shio III on May 11, 2026, impacts Georgia’s European Union integration efforts. The GOC is seen as the foundation of Georgian national identity and state legitimacy, also deeply rooted in the legacy of the late Patriarch Ilia II. The enthronement of the new Patriarch Shio III may reinforce the anti-Western narratives deployed by the ruling Georgian Dream party, which has actively delayed Georgia’s EU accession through illiberal policies such as the "Foreign Agents …

Consciousness Under Dual Pressure: Colonial Diglossia, Orthodox Missionary Activity, And Islamic Cultural Resilience In Late Imperial Kazakhstan, Aigerim Aliaskar

Occasional Papers on Religion in Eastern Europe

This article examines the relationship between religious identity, language, and educational experience in the context of the Russian Empire’s educational and Orthodox missionary policies in the Kazakh Steppe during the late nineteenth and early twentieth centuries. The primary objective of the study is to analyze the spiritual-cognitive resilience of traditional Islamic educational institutions in response to the policy of Orthodoxization and Russification implemented by the tsarist administration through the system of Nikolai Ilminsky. The author examines the phenomenon of colonial diglossia which emerged during this period, wherein Russian-Christian texts were increasingly elevated as the administrative "High-variant," while the Kazakh-Turkic identity, …

Religious Persecution In Communist Albania Through Constitutional And Legal Acts, Sadik Haxhiu, Besard Belegu, Artan Fejzullahu

Occasional Papers on Religion in Eastern Europe

Following the victory of the communist regime in 1944, the new Albanian state built its institutions on a materialist worldview that stood in direct opposition to the universal principles of freedom of conscience and religious belief. The state progressively restricted religious practice until it banned it altogether. This anti-religious campaign proceeded along two tracks: anti-religious political propaganda and the adoption of legal acts prohibiting the practice of religion. A 1967 decree-law banned religious belief outright, and the 1976 Constitution declared Albania the first atheist state in the world. This paper is based on an analysis of legal acts, scholarly literature, …

From Humanitarian Aid To “Counterrevolution”: Foreign Assistance To Pentecostals In Soviet Ukraine And Its Criminalization By The Gpu–Nkvd, 1932–1935, Oleksandr Korotaiev

Occasional Papers on Religion in Eastern Europe

The article examines foreign assistance to Pentecostal communities in the Ukrainian SSR and the mechanisms of its criminalization by Soviet state security agencies in 1932–1935. Drawing on GPU–NKVD criminal investigation files, secret police reports, party-state documentation, personal correspondence, and memoir sources, the study reconstructs transnational channels of humanitarian support, practices of resource distribution, and the transformation of survival strategies into objects of political repression.

Particular attention is devoted to two distinct models of foreign assistance. The Odessa case demonstrates a centralized system connected to the former leadership of the All-Ukrainian Union of Christians of Evangelical Faith and transnational Pentecostal networks …

What Are The Benefits Of Reading For Pleasure?, Abigail Pineau

Undercurrents: A Journal of Undergraduate Student Composition

Abigail is a nursing major living in Weymouth, Massachusetts. Abigail enjoys reading for pleasure, but before researching this essay she “never knew just how impactful it was.” She said that after researching this subject it became “important for me that students and parents know just how impactful pleasure reading is.” In addition to reading, Abigail’s other passion is nursing, as she loves both helping people in need and learning how we function as humans.

Nota Bene: A Study On Latin And Its Influence, Ashley Kim

Undercurrents: A Journal of Undergraduate Student Composition

Ashley is a psychology major currently living in Natick, Massachusetts. Ashley took Latin at her high school in Georgia, where she found it to be “one of the most insightful and unique courses I had ever taken.” She was disheartened that her Latin teacher had to struggle to find students to fill her class, and she wrote this paper with that teacher in mind to share “the message of Latin’s intrinsic benefits.” Ashley says that writing is very important for her, and she says “there can be great significance in small moments, and instead of letting those moments slip by, …

Volume 9 (2026) Climate And Responsibility

International Journal on Responsibility

This issue focuses on the various ways responsibility affects environmental justice. Specifically, this volume urges us to think about how societal and individual (in)action influences ecological crises and what informs this behavior, with a specific focus on religious and Indigenous beliefs and values.

Approaching Well-Being Through The Research Lens: How Hca Healthcare Colleagues Are Building Healthy Work And Learning Environments, Gregory Guldner, Allison Woodall, Deepinder Bal, Jennifer Larkin, Cynthia Borum, Sunny Hull, Annette Edens, Lisa H. Moore, Elaine K. Miller, Harold Gomez Acevedo, Katia M. Lugo Enriquez, Noor Judge, Yanie Oliva, Pablo E. Ramirez Caraballo, Faraz Jaffer, Prerna S. Sharma, Daniel Heller, Siddarth Kathuria, Nathaniel Banet, Orlando Nieves-Lugo, Adrienne Madison, Lily Martin, Oliwier Dziadkowiec

HCA Healthcare Journal of Medicine

At the heart of our commitment to the care and improvement of human life are the physicians who dedicate themselves to delivering exceptional care. To support not only our physicians’ professional excellence but also to foster personal fulfillment, HCA Healthcare partnered with Claremont Graduate University to establish the Physician Wellness Research Lab (PWR Lab). In his new role as the Vice President of Academic Affairs for Graduate Medical Education (GME), Dr Guldner led a nationwide search to establish and implement a new approach to well-being. At HCA Healthcare, we believe that true flourishing requires transforming the work and learning environment …

Beyond Drainage: Can Pleural Effusion Naturally Tamponade Tumor Hemorrhage? Literature Review Of Hypotheses For Possible Mechanisms, Pratyush Kumar, Kumar Abhishek, Pankti Shah, Amelia Goslin, Archana Machavarapu, Catherine Joyce, Michael J. Waxman, Kari Nilsen

HCA Healthcare Journal of Medicine

Background

Malignant pleural effusion (MPE) is a common complication of advanced lung cancer and is typically treated with therapeutic drainage to relieve symptoms. Although this is a well-established palliative approach, removing pleural fluid—especially in cases of necrotic or post-radiation tumors—may disturb the fragile pressure balance within the thoracic cavity. The question of whether pleural effusion can act as a natural tamponade against tumor-related vascular fragility has not been thoroughly investigated.

Case Presentation

We report a case of a 49-year-old man with stage IIIB non–small cell lung cancer (NSCLC) who experienced a catastrophic hemorrhage shortly after pleural fluid removal via a …

Myxedema Coma With Cardiogenic Shock: Diagnostic Challenges And Risks Of Amiodarone In Acute Thyroid Failure, Jean Carlos Ramos Cardona, Gunjan Mundhra, Munachiso Egbo, Veniamin Melnychuk, Suzanne Quinn Martinez

HCA Healthcare Journal of Medicine

Background

Myxedema coma is a rare but life-threatening manifestation of severe hypothyroidism characterized by altered mental status, hypothermia, bradycardia, and multiorgan dysfunction. Delayed diagnosis is common, particularly in elderly patients with multiple comorbidities. Cardiac complications, including malignant arrhythmias, are underrecognized contributors to morbidity and mortality. Profound hypothyroidism compromises cardiac myocyte function through reduced activity of enzymes involved in calcium uptake, leading to impaired myocardial contraction and relaxation. This results in decreased heart rate, reduced cardiac output, and altered left ventricular function, which may be further exacerbated in patients with heart failure with reduced ejection fraction. Prolongation of the ventricular action …

Neuromotor Compromise As A Presenting Symptom In Advanced Lower Extremity Soft Tissue Sarcoma: A Case Series, Adam Maestas, Parsa Charkhchi, Farbod Malek

HCA Healthcare Journal of Medicine

Background

Soft tissue sarcomas (STS) are rare malignant tumors of mesenchymal origin, representing less than 1% of adult cancers. Approximately half arise in the extremities, most often presenting as a painless, enlarging mass. Symptoms are often misattributed to benign neuropathic or musculoskeletal causes, leading to delayed diagnosis and treatment. Neurological deficits such as foot drop or distal weakness are exceptionally uncommon presenting signs and generally indicate advanced local invasion or compression of major peripheral nerves. Recognizing acute neuromotor compromise as a potential manifestation of soft tissue malignancy is crucial for timely oncologic evaluation and limb-sparing management.

Case Presentation

This series …

Avoiding Unnecessary Surgery In Acute Longus Colli Calcific Tendinitis: A Clinical Image Of A Retropharyngeal Abscess Mimicker, Brandon M. Nielsen, Oluyemi O. Omotoso

HCA Healthcare Journal of Medicine

Acute calcific tendinitis of the longus colli (LCT) is a rare, benign condition that frequently mimics retropharyngeal abscesses (RPA), a true surgical emergency. We present a 34-year-old woman presenting with 4 days of severe posterior neck pain, stiffness, and odynophagia. Initial evaluation revealed significantly elevated inflammatory markers (erythrocyte sedimentation rate [ESR] 113 mm/hr, C-reactive protein [CRP] 128 mg/L) and leukocytosis, raising immediate concern for deep neck infection. Contrast-enhanced computed tomography (CT) demonstrated a retropharyngeal fluid collection; however, the absence of peripheral ring enhancement and the presence of a pathognomonic calcification anterior to the C1 arch pointed toward LCT. This distinction …

Blaschko-Linear Lupus Erythematosus In A Pediatric Patient, Marshall Hall, Olivia Mayer, Henry Lim, Dustin V. Wilkes, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

The lines of Blaschko represent epithelial cell migration during embryonic development. Rare forms of cutaneous lupus erythematosus may manifest along these lines, and lesions are termed Blaschko-linear lupus erythematosus (BLE). The purpose of this case study is to present a rare manifestation of linear cutaneous lupus erythematosus following the lines of Blaschko in a pediatric patient. To date, there are very few reports of BLE. We present a 17-year-old female with a 2-month history of a mildly tender growing lesion along the right nasofacial sulcus. The patient denied lesions elsewhere and any systemic, joint, or mucosal symptoms. A biopsy of …

Presentations Of Cutaneous Disease In Various Skin Pigmentations: Hidradenitis Suppurativa, Jamie Y. Choe, Henry Lim, Marshall Hall, Christian Scheufele, Dustin V. Wilkes, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disorder characterized by recurrent deep-seated nodules and painful abscesses with scars, fistulae, and sinus tracts that predominately affect the intertriginous sites. Onset typically occurs soon after puberty. Depending on disease severity, HS can lead to varying levels of pain, disability, and disfiguration with significant impacts on quality of life. Hidradenitis suppurativa is diagnosed clinically, and no diagnostic tests are specific to the disease. Therefore, clinicians must have the knowledge and competence to identify the clinical features of HS accurately. The purpose of this report is to provide descriptions of characteristic clinical presentations …

Sebaceous Gland Heterotopia Of The Esophagus: A Rare Incidental Finding During Upper Endoscopy, Samuel Ramos, Margaret-Anne Huntley, Eric Vargas, Jignesh Parikh, Vania Zayat

HCA Healthcare Journal of Medicine

Esophageal heterotopic sebaceous glands (EHSG) are an extremely rare finding within the esophageal epithelium. These glands are typically benign, presenting as small, yellow-white plaques or lesions observed on endoscopy, often in the middle third of the esophagus. Esophageal heterotopic sebaceous glands are generally asymptomatic, and surveillance is not required. While their origin is unclear, proposed mechanisms include metaplastic transformation and congenital development. Recognition and histologic confirmation are essential to distinguish EHSG from other esophageal lesions and to avoid unnecessary interventions. We report the case of a 55-year-old man in whom multiple diminutive plaques were identified in the mid-esophagus during esophagogastroduodenoscopy …

Psychological Adaptation In Colorectal Cancer Survivors: Pilot Study Findings, Anuja L. Sarode, Emily M. Su, Amber Kerstetter-Fogle, Steve Paciorek, Erica L. Laipply

HCA Healthcare Journal of Medicine

Background

In this pilot study, we examined psychological impacts of colorectal cancer (CRC), focusing on cancer-related posttraumatic stress disorder (CR-PTSD) symptoms, posttraumatic growth (PTG), and their relationship with coping strategies in surgically treated CRC patients.

Methods

This prospective pre- and postoperative pilot study assessed CRC patients at 2 time points, pre- and postoperative. Psychological symptoms were evaluated using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) and the PTG Inventory Short Form (PTGI-SF). Coping strategies were assessed using the Brief Coping Orientation to Problems Experienced (COPE) instrument. Changes in CR-PTSD, PTG, and coping …

Coping Beyond Cancer: Exploring Fear Of Recurrence In Colorectal Cancer Survivors—A Pilot Investigation, Emily M. Su, Steve Paciorek, Erica L. Laipply, Anuja L. Sarode

HCA Healthcare Journal of Medicine

Background

Evidence is limited on the fear of cancer recurrence (FCR) among colorectal cancer (CRC) survivors in the US, especially regarding patterns and trends of post-recovery coping mechanisms. This pilot mixed-methods study quantified FCR, examined its associations with Brief COPE domains, and contextualized coping through qualitative analysis.

Methods

Twenty-three patients who successfully underwent CRC surgery were included in this pilot study. Fear of cancer recurrence was measured using the FCR Inventory (FCRI) Short Form, and coping strategies were assessed with the Brief Coping Orientation to Problems Experienced (COPE) survey. Descriptive statistics summarized participant characteristics, FCR, and COPE scores. Spearman correlation …

Introduction To Volume 9: Climate And Responsibility, Heather L. Scheuerman, Sylvia J. Whitney Beitzel

International Journal on Responsibility

No abstract provided.

Translating Higher Education Into Vietnamese: An Applied Linguistics Approach To Language Equity And Higher Education Access, Z.W. Taylor, Alan Do, Jase Kugiya, Tuan Le

Journal of Southeast Asian American Education and Advancement

One growing population of non-native English speakers in the U.S. education system are native Vietnamese speakers, yet no studies have examined how higher education communication could be made more accessible for Vietnamese speakers. As a result, this case study reports on human and machine translational linguistics work conducted in partnership with the University of Iowa focused on simplifying and translating English enrollment management information into Vietnamese. Findings suggest that the institution increased the clarity and accessibility of enrollment management information by using second-person pronouns, shorter sentence structures, clearer diction, and explanations of institution-specific jargon. Moreover, analyses of machine and human …

Solar-Driven Photocatalytic Ceramic Membrane Reactors For Paracetamol Degradation: Process Optimization, Transport Dynamics, And Preliminary Cyclic Reusability, Adel Zrelli, Asma Abdennebi, Manoj Chandra Garg, Fanghua Li

Engineering and Technology Journal

The use of membrane separation and heterogeneous photocatalysis together appears to be an innovative way to remove long-lasting pollutants such as paracetamol (PCT) from water. To overcome the limited process by understanding hindering the practical deployment of solar-driven photocatalytic membrane reactors (PMRs), this study proposes a process-engineering-centered framework for a low-cost, integrated ceramic PMR. A laboratory-scale system was developed using inexpensive red clay ceramic membranes modified by immobilizing TiO₂ (P25) for paracetamol degradation under natural sunlight and ultraviolet irradiation. Unlike previous studies mainly focused on material development, this work evaluates the coupled effects of TiO₂ loading, membrane inclination, …

Neural Network Modelling Of Magnetic Effects In Solid-State Transformer Performance Under Variable Magnetic Operating Conditions, Godfrey Murairidzi Gotora, Blessed Ziyambe, Emanuel Rashayi

Engineering and Technology Journal

Solid State transformers (SSTs) are pivotal for renewable energy integration and smart grids, yet their performance is critically limited by non-linear magnetic effects such as core losses, flux- density saturation, and magnetising-inductance drift, that conventional analytical methods and prior artificial neural network (ANN) studies have struggled to model simultaneously across the electrical, thermal and magnetic domains. This study develops and evaluates a unified multi-output ANN framework that predicts six SST performance indicators which are efficiency, power density, total harmonic distortion, temperature rise, core loss and magnetising inductance from six operating variables (switching frequency, duty cycle, load current, ambient temperature, input …

Experimental Investigation Of Mechanical Performance Of Glass/Epoxy Hybrid Composites Reinforced With Natural Fibers, Bestwn Omer, Gailan Ismail Hasan

Engineering and Technology Journal

The use of epoxy-based composites has increased significantly due to their wide range of applications across various industries. However, these composites often require enhanced mechanical properties tailored to specific applications through the incorporation of different types of reinforcements. In this study, the effect of natural fibers on the mechanical properties (flexural strength, tensile strength, and impact energy) of composites based on two types of epoxy resins (LR202 and Sikadur®-52 LP) was investigated using the hand lay-up method. Different reinforcement fibers (fiberglass, cotton, and jute) were incorporated at various percentages. The results indicate that, among composites reinforced with a single type …